| Teresa Medical Center, Inc. | |
|
1407 N Vermont Ave # A Los Angeles CA 90027-6023 | |
| (310) 908-1007 | |
| Not Available |
| Full Name | Teresa Medical Center, Inc. |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1407 N Vermont Ave # A, Los Angeles, California |
| Authorized Official Name and Position | Arjang Naim (OWNER) |
| Authorized Official Contact | 3236605900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Medical Center, Inc. 326 N Vermont Ave Los Angeles CA 90004-3511 Ph: (323) 660-5900 | Teresa Medical Center, Inc. 1407 N Vermont Ave # A Los Angeles CA 90027-6023 Ph: (310) 908-1007 |
| NPI Number | 1205056033 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 03/20/2012 |
| Medicare PECOS PAC ID | 7214902337 |
|---|---|
| Medicare Enrollment ID | O20101119000936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205056033 | NPI | - | NPPES |
| GR0090191 | Medicaid | CA |
| Provider Name | Joseph A Carella |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548277767 PECOS PAC ID: 4082527833 Enrollment ID: I20040921000384 |
| Provider Name | Arjang Naim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184614216 PECOS PAC ID: 7214031608 Enrollment ID: I20070323000369 |
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